Injection apparatus



Feb. 16, 1954 .1. H. sMooT INJECTION APPARATUS 3 Sheets-Sheet 1 File-d 'July 3o. 1947 l v 4 A Y M 1a, gw. Mza@ i. graft.

ATTORNEYS Feb.16`,1954 J. H. SMOOT A 2,669,230

INJECTION APPARATUS Filed July so. 1947 3 Sheets-Sheet Y 2 JNl/ENTQRLy l .jn Jamai /ITTORNEKS J. H. SMOOT INJECTION APPARATUS Feb. 16, -1,954

3 Sheets-Sheet v3 Filed July 30. 1947 lll/lll /I TTORNE YS Patented Feb. 16, 1954 VVS PAT-EN T FF ICE J'ohnH. SmootDarien, Conn., assignor to Becton :Dickinsonrand.Company,.fRutherfordL N. J., a :corporation of New- Jersey 'Application July 30, 1947,LSerialLNof764817 "cleaningfsterilizing and-removal o'fspent units v vor ampules.

A^stil1 `further 'object Eis that of 'furnishing 'an ampule for use with such an "apparatus .and which 'ampule may-readily lbe 4kproduced. in large mquantities and #at-small cost; the ampule lserving 'to 'maintain "medicament enclosed "therein in .proper sterile'condition. ."Moreover, the ampuleA 'will embody a structure such that 'it may read- -ilybe Aplaced in a sterilizer "should "such 1pr`ocei v.dureb'e desired.

Another obj eotis that of "furnishing an ampul'e assembly which may :be presented Y as a unit; -the parts of the assembly'being h'readily manipulatable so as/'to Arender the assembly ready "for use just Iprior "to the time "that the injection'is to be made.

4Still another object is .that of providing van 'injection apparatus embracing 'relatively few parts, veach individually simple and vrugged "in construction, suchparts bein'gcapa'ble of ready assemblyand Yoperating over long periods o'f time xwith freedom from all idifiiculties.

With these 'and "other `objects in mind, .reference is had 4vto 'thejattached 'sheets o'f .drawings illustrating practical embodiments Sof v'the invenitionandiin which:

f-Fig. 1is a lsecti'ona'lfside 4view "of one form of 'injection apparatus 'andshowingithe lsa'mereajdy "for "fuse Fig. 2 is a similar view showingthe positions which theparts assumea'fter use;

Fig. -'-3 fis -a transverse sectional view taken along ythe 'lline l3-*`3 and *in lthe direction of the I'arrows as indicated* .ini Fig. 1;

:"Fig. 4 Pis a fragmentary venlarged .sectional view-fof fthe structure `.which may be .embodied lin the lower lor fdischarge portionA offthe apparatus and showing lv'one form 'of ampul'e -disposed therein;

Fig. 'f5 a viewsimilarto fFig. 4 but 'showing 'an alternative 'form o'f structure as well as a second f0rm-of amplle which may be employed; -l'ig- 6-is -a sectional' side vview of Ianampule and showing 'the same associated with a piercing cannula and ampule supporting member;

Fig. i7 -is a 'view-similar to Fig. 1 but illustrating an alternative form of apparatus;

Fig. v8 vis a `transverse sectional view taken along the line 118-48 and Vinthe direction ofthe arrows as indicated 'inFig 7;*1

-Fig.`9 is a view vsimilar to Figs. 1, 2 and 7 but showing a further form-of unit;

Fig. 10 is a Atransverse Vsectional `view taken Aalongthe line Ili---IIJ and inthe direction of the arrows as-indioatedin Fig. 9;

Fig. l1 showsl onefof theelements of the mech- 'anism as illustratediin'Fig. 9;

`Fig. `12 is a sectional side view of a form of cannula structure Awhich may be employed; and

Fig. vvlf3 Vis asimilar view of 'a plug-cannula and ampule assembly. Primarilyreferringf to Figs. 1 to 3, the numer- -al 'l0 indicates a casing preferably formed of metal. Thisca'sin' resentsthroughout its upper portion ab'cner y, Slidablyjextending within this bore Yis a "plunger "assembly(.14, i; The assembly "includes a`lowei" plunger portion 12; a washer or niiange member l'and a stem portion I4 to which a 'head rl5 is sec, ed. The structure of this assembly may "bev varied `'in numerous respects. However, 'it preferably(includesthese parts connected together-for "example'in the manner shown. Also, v'the assemblyr should/conveniently embodyal maximum mass or weight.

"With a `view to retracting 'the assembly for purposes hereinafterbrought out, a knob i6 may be provided. This knob is suitably connected; to- `l v'a .tube l1. The lower end 'of -the Vlatter maybe.vr flanged inwardly 'as at f8 to define an opening through which the rod lll extends. The head v"i5 has `a diameter jsuch that it may not pass through the opening. 'Thetube 'l1 is slidably disposed with respectjto thele'dges. of an opening 'formedin theiupperend of ythe't'uloular body. It; 'a flanged and .apertured .plu'g'fl9 `'conveniently extending `in'line.with"this opening for the pur-.f *pose of 'providing a guide for the .tube il.. At,

formed in the outer face of the body Ill. This pawl member has an inwardly extending projecting portion 23 and an upwardly inclined end 24. The upper end of the slot 22 terminates in a cam surface 25 for cooperation with the inclined surface of the portion 24. A handle 23 is pivotally connected to the casing or body I as at 21. A linlr 28 may connect the lower end of the pawl member 2i with the handle 26. A spring 29 normally maintains this handle in an outward position as indicated in Fig. l. This spring also conveniently bears against the outer edge of member 2i in order to maintain the latter firmly within the groove 22 or trackway of the body I3.

The lower end of the body I3 is preferably continued as the form of a relatively reduced bore 33 having a diameter slightly in excess of that of the plunger portion I2. This bore 3@ forms a continuation of the recess or bore il. A venting opening or passage 3i may be provided for the flow of air as the plunger portion i2 is shifted. The lower end of body i3 beyond the bore 3d may be counterbored to, in effect, provide a hollow end portion 32 which is conveniently formed with screw threads 33 adjacent its outer end.

As shown in Fig. 5, this hollow end portion of the body receives a plug 34 which is conveniently threaded to cooperate with the threads 33. The outer end of the plug, as illustrated in this gure, is conveniently in the form of an enlarged or flange portion 35, the outer edges of which may be knurled so that the plug may readily be associated with or removed from the body i3. The length of the main plug portion 33 should be such that with the plug properly secured within the recessed lower end of body l5, that plug portion will substantially completely fill the recess. As also shown in Fig. 5, the outer face of the plug may be formed with an opening which defines a passage extending through to the chamber which forms a part of the plug 34.

This opening conveniently receives a cannula 36, the outer end of which is blunt and terminates in line with the outer face of portion 35. The inner end of the cannula 36 extends into the chamber of the plug for a small distance and terminates in a pointed or piercing end 37. The passage provided by the bore of the cannula should be relatively fine. The outer end of the same, under ordinary conditions, defines an orifice on the order from .003" to .005". In line with the cannula, the lower face of the plug 33 may be bulged outwardly to provide a convex portion. The area of this portion may be as large as desirable consistent with maintaining a zone of seal between the surface being contacted and the cannula mouth.

Disposed within the chamber of the plug, as in Fig. 5, is an ampule which may include a tubular body 38 :formed of glass, plastic or other suitable materials. The lower end of this ampule is closed by a pierceable seal 33, the upper end of the same being closed by a stopper 4G, which may conveniently by formed of rubber. The space within the ampule intervening between the stopper 4i) and the closure 3S is filled with a body of medicament 4l. The plunger portion also indicated by the numeral I2 in this figure, corresponds substantially to the plungers shown in the other figures excepting that its inner end is preferably at instead of being pointed.

The ampule and assembly of the parts as shown in Fig. 4 is in many respects preferred to that just described. is will be seen in that figure, the plug 42 is secured to the end portion 32 of the body i0 as heretofore brought out. The plug 42 is also formed with an ampule-receiving chamber. However, instead of the lower end of the main plug portion defining a discharge oriiice, that plug portion is bored and threaded to receive a screw threaded supporting element or plug 43. The latter is formed with an opening within which a cannula 44 is disposed. This cannula may correspond to the cannula 36 and also has its inner end projecting beyond the inner face of the supporting element 43. Similarly to the plug 34 adjacent the cannula 33, the plug 43 may have its outer face convexly bulged or curved throughout a greater or lesser area. If desired, a packing 45 may be provided to assure against leakage between the element 43 and the plug 42. It will also be understood that the outer edge of the element 33, which extends within the recessed portion 46 in the lower plug face, may be knurled. Likewise, the outer edge portion of plug 42 may be knurled. The parts are so proportioned that an operator may readily grip the parts with his fingers or else apply a suitable tool to detach the plug 43 from the plug 42.

The ampule indicated by the numeral 41 and which is the preferred form of medicament lcontainer, embraces an imperforate body filled with medicament. This body may be formed oi a bendable plastic, metal foil, impregnated paper, rubber or any other desired material which is capable of being collapsed or crushed. The ampule will preferably be cylindrical in shape. lts upper end may be reinforced by including two layers of material as indicated at 48. It is at this point that the ampule may be lled after which the adjacent layers are overlapped, folded together, vulcanized, pasted or otherwise sealed to provide an imperforate body.

The assembly shown in Fig. 6 may include an element 43 as described in connection with Fig. 4 as well as an ampule t? likewise described in connection with that figure. Otherwise, an ampule such as 33 in Fig. 5 or any other desired medicament-containing unit may be employed. In any event, the ampule and element are enclosed in a container 49 which may be formed of berboard or other1 material. This container may have one or more lips 53 at its lower end for retaining the element 43. Its upper end may be closed by a lid portion iii. As is apparent, the entire assembly may be sold and will remain assembled until it is ready for use. If desired at that time, the unit may be placed in a sterilizer. In any event, when it is desired to employ the same, an operator by bringing pressure to bear on the central portion 52 of the lid may force the ampule 4l into engagement with the element 43. Such force may be sufficient to even cause the cannula lili to penetrate the base end of the ampule. Regardless of whether this occurs or not, the pressure serves to cause the lips 5U to be straightened so that the ampule and element may be removed from the container 49 as a unit. Thereupon, the container may be discarded.

Referring to the alternative form of apparatus shown in Figs. '7 and 8, the numerals IB to 20 indicate parts corresponding in function and also preferably structure, to those heretofore described in connection with Figs. 1 and 2. However, in lieu of a groove 22, the side of the casing is formed with a slot 53. Extending through this slot is a lever 54 having a forked inner end 55. Such end is cooperable with the flange member I3. Lever 54 is pivotally secured as at 56 to a continuing such pressure as may be necessaryv to maintain that contact, handle 26 is moved inwardly with respect to the body I0. In other words, these elements are grasped in the hand and a squeezing action is exerted. As a consequence of this action, a thrust will be exerted upon link 28. This thrust will be transmitted to the member 2I and will cause the latter to move upwardly within the groove 22 or other guiding structure. With the pawl projection 23 engaging member I3, it follows that the latter will be moved upwardly or outwardly and correspondingly retract the entire plunger assembly. This action will continue until the spring 20 is substantially fully compressed. At that point, the cooperating surfaces of portions 24 and 25 will be immediately adjacent each other. Therefore, a slight additional projection of element 2| will cause these surfaces ot cooperate. This will result in member 2| being swung outwardly against the action of spring 29. Such swinging will cause the pawl projection 23 to move out of engagement with the flange member I3.

Accordingly, the plunger assembly will be released. Under the action of the spring, the assembly will be projected with considerable force towards the ampule. Any air which would otherwise result in a cushioning or slowing down of the projection rate will escape through vent 3| or by means of the clearances which exist. The mass of the plunger assembly should incorpo rate a high value. Thus, this mass with the momentum imparted to it will serve to cause a relatively violent engagement between the end of plunger portion I2 and the head portion 48 of the ampule. This head portion will therefore move inwardly, thus collapsing the ampule upon itself until a position of the parts such as has been shown in Fig. 2 results. Under certain circumstances, and according to the structure of the ampule, the collapsing of the same may actually involve a crushing or disintegration. Under other circumstances, merely the head portion of the ampule will in effect be severed. Under those conditions, that portion will function as a follower. Therefore, where hereafter a crushing action is referred to, this is to be construed in a generic manner. It will be remembered that the bore of the cannula 44 is in communication with the interior of the ampule due to the fact that the end of the former has pierced the lower wall of the latter. Of course, the parts might be proportioned so that such piercing will not occur except under the action of the plunger portion I2 in striking against the ampule and causing the latter to be projected against the pointed end of the cannula. However, it is ordinarily preferred that a piercing of the ampule be effected in the manners heretofore brought out.

As the ampule is collapsed, the contained medicament is expressed under high pressure and velocity from the bore of the cannula. This will permit in the medicament being injected-without the use of any piercing needlethrough the epidermis. The depth of the injection will, of course, depend upon the force with which the plunger portion I2 strikes the ampule, the degree of intimacy of contact between the apparatus and the skin of the patient, the volume and length of the ampule and other variable factors. If it is desired to vary the amount of medicament to be injected into different patients, it is preferred that ampules of different capacities and lengths be employed. Of course, in the form of apparatus shown in Figs. 1, 2 and 3, variation may also be 8 achieved by having the cam surface 25 closer or further away from the cooperating surface of portion 24. However, under such procedure, it is apparent that when a smaller and/or shallower injection is desired, a portion of the medicament within the ampule will be wasted if ampules of equal capacity are employed throughout. This generally is undesirable.

If an ampule of the type Shown in Fig. 5 is employed then the same technique is followed as heretofore described. It is apparent that the plunger portion I2 will strike the follower 40 and cause the latter to be projected through the bore of the ampule 38. Such projection will cause the follower to function as a piston to express the medicament through the bore of cannula 36. Regardless of whether an ampule of the type shown in Fig. 4 or. Fig. 5 is employed, the fully projected position of the plunger portion I2 should be limited in a manner such that the end of the plunger will never strike against the inner end of the cannula. Otherwise, that pointed end will become damaged and these parts will have to be renewed. This might well be immaterial in the case of an element such as 43 where it is contemplated that a one time use of the element as well as the ampule is to occur. However, in the case of a plug such as 34, unnecessary expense would be involved.

Now, if it is desired to remove the discharged ampule, it is obvious that this may be achieved by simply dismounting the plug 34 as in Fig. 5 or the plug 42 as in Fig. 4. Tn the latter structure in certain instances, all that may be necessary will be to remove the element 43. However, ordinarily to clean the chamber of the unit 42, the entire unit should be removed. In the case of structure such as is shown in Fig. 5 being employed, then any suitable expedient may be used to retract or withdraw the ampule from the chamber of the plug. Thereupon, this chamber may receive a new filled ampule.

The purpose of the knob i6 or its equivalent now becomes apparent in that with the parts projected as in Fig. 2, the plunger portion I2 extends into the chamber of the plug. However, by grasping and retracting the knob I6, the plunger assembly is shifted to a point where the flange I3 thereof rides past the projecting pawl portion 23 so that the parts assume the positions shown in Fig. l. In such action, it is apparent that spring 29 constantly exerts a pressure against member 2I to assure that it will tend to have its pawl portion extend below the ange member I3. When the parts have assumed the proper positions, the knob I5 is returned to its normal station.

The same coaction of the parts is true of the structure shown in Figs. 7 and 8. As heretofore briefly outlined, a squeezing of the handle 5l towards the body lll results in the forked portion 55 bearing against the flange I3 with sufiicient force to raise the latter and the plunger assembly. Such raising will continue until the spring 2S) has been substantially fully compressed. At that point and as indicated in dash lines in Fig. 7, the forked portion 55 will ride out of contact with the flange I3 and release the plunger assembly for projection.v With such projection, the contents of the ampule will be discharged as also heretofore brought out. A new ampule being available, it follows that the unit may again be charged to duplicate the foregoing functions and after the knob I5 or its equivalent has been retracted. In such shifting, the flange I3 will engage the forked member 55. The latter will thereupon cam ageeaaso against:` thelilangef. surfaces-'tand"` around.; its: pivot 56. In such movementdtzwill beiresistedi by.` the spring- Qwhich will;constantly-'tend Lto.z svvingthe linkfzor-'J arm1.54 inwardlyf. Therefore; asfsoon'. as flange l1 l`3fiselevatedrtof ai. position where itfv clears thel forked? portion 55,'. theilatter will assume theposition'. shown in fullilines inaFig. 7.l

In't thefcrmi of-structure sho.wr1'. ,inv Figs: 9;. 10i and. 11.'. it. will .bei understood .that-,1in commonwith; the structuresai of: all ofA theifheretofbre: described' units, .thef plug andi cannula* assemblyf isf. similar andremovableiV forfthelpurp'cseoi cleaning fand `re-- charging' the apparatus. Also, in common;withv thezstructures lshown in' Figs: 1-` andfZ; aniop'eratorf by.E retracting the. plunger:assembly,ztoizwherei-tlie shoulder'l; engagesthe latch element, may cause the parts to assume positions at which the unit mayfb'e loaded; or in other wordshave an ampule associated with' it. A's: willi bei apparent with shoulderengaged by the latch, the outer. end

ofV plunger 'l tis wholly retracted from the bore ci plugZ.` Tocause the parts tothusshift,fallthat anoperato'r willhavet'o dois to grasp thehandle 66`and'pulllthe same. Thiswill initially result'in an engagement ofv the head? of rod B3 with the baseof` tube El; Continued pullingy willresult in aicompression of'spring 10. When the indicial Sli islin linewithfthe cap, shoulder. 'I5 will beengaged by the latch'.`

After the unit has been loaded, an operator may approximate a discharge of medicamentto be injected'by continuing to pull handle Se until one of the indicating marks 82 is in registry with the upper edge of cap 65. It will be understood that the further the spring 10 is compressed, the

greater will be the violence of the resulting blow between the plunger and the ampule. The less the violence of that blow, the less injection of medicament and depth of injection will occur. Therefore, assuming that the ampule has an outside capacity of one-half cc., then it is apparent that if the plunger 1| is retracted until the latch or trigger element is aligned with the outermost of the shoulders 14, a full injection will occur within the limits of capacity of the ampule. A lesser retraction of the plunger assembly will result in a less forcible projection of the plunger with a decrease in the injected dosage.

Regardless of whether a tapered-bore cannula such as 84 is employed, or whether a cannula as shown in Figs. 1 to 10 inclusive is utilized, the velocity and pressure of the liquid will result in an injection without the use of a needle. Where an assembly as in Fig. 13 is utilized, sterility may be maintained and there will be no danger of the cannula piercing the ampule prior to the time that the parts are assembled. The unit, as in this figure, may be placed in a sterilizer. After removal of the cap, the ampule 41 may be guided by the tubular extension 86 into the ampulereceiving chamber of the unit. After the cap 9| has been removed, the plug 43 may simply have its knurled side edges grasped by the operator for mounting purposes. Thus, the parts will never have to be re-sterilized.

Thus, among others, the several objects of the invention as afore noted are achieved. Obviously, numerous changes in construction and rearrangement of the parts might be resorted to without departing from the spirit of the invention as defined by the claims.

What I claim is:

1. An apparatus for injecting liquid medicament through the skin without the use of a skinpenetrating hollow needle, said apparatus includingfra ycasing presenting aY medicamenti-containing recess; movable means cooperable with the :liquid i ing, a spring cooperating with4k said. plunger: to

cause anexpulsion of the: liquid fromathencasing, a. handle pivotally secured to saiolcasingfto1 ini`-, tially extend" at an; acute-angle with:k respectA to. the latter, a leverfhavinggonercf; its ends swingeingly connected toisaid handle, aforlzed end .p.or\ tion. deningi al plungereengagingl part.- at'- the opposite end of said lever and means forrslidablyf and rockably guidingf saidi leverv with". respectsto said'.` casing.

2;' An apparatus; for injecting;- liquidi medica?, mentthrough` the skin without the fuse' of; .'nskin'ay penetratingfhollow` needle, saidapparatus'includ-v ing-"a casingpresenting atmedicament-containing.' recess; movable means cooperablewith theliquid co'ntainedin said recessto expel the liquidltherefrom, a-shiftable plunger mounted'byf said cas-LI ing, af springA cooperating` withisaidi plunger-"tocauseran expulsionl of the liquid f from the cas-ing,l a2 handle pivotally secured to said casing-f' to'l initheflatt'er, a lever having one-of its-ends.swing inglyconnectedito said handle, aforked end por` tion defining-A a plimger-engagingA partA at the. opposite end of saidlever; alprojecti'onextendingf transversely of said leverfand; havingvslidable'andl rockab'le bearing Vwith `relation to -sa'id' casingand whereby a's saidileveri'slcaused to'swingfandfshift incident to the movement of said handle, the forked end portion of said lever will move out of operative engagement with said plunger.

3. An apparatus for injecting liquid medicament through the skin without the use of a skinpenetrating hollow needle, said apparatus including a casing presenting a medicament-containing recess, movable means cooperable with the liquid contained in said recess to expel the liquid therefrom, a shiftable plunger mounted by said casing, a spring cooperating with said plunger to cause an expulsion of the liquid from the casing, a handle movably connected to said casing and to initially extend at an acute angle with respect to the axis of the latter, a member cooperable with said plunger, a link connecting said handle with said member, a guide portion slidably supporting the latter, said member shifting in response to a swinging of said handle towards the casing axis to compress said spring and release said plunger.

4. In an apparataus for ejecting fluid medicament into tissues without the aid of a skinpiercing needle, a rigid ampule supporting member having an outer and an inner face and formed with a medicament discharge passage extending between said faces and which passage at least adjacent the outer member face is of minute cross sectional area, mounting means forming a part of said member for supporting the same with respect to an element dening an ampule-receiving chamber, the outer face of said member being convexly curved adjacent the zone of said passage to provide a skin-contacting surface and an am pule piercing projection extending from the inner face of said member at a point adjacent the zone of the passage.

5. In an apparatus for ejecting iluid medica ment into tissues without the aid of a skin-piercing needle, a rigid ampule supporting member having an outer and an inner` face and formed with a passage extending between said faces, a cannula flxedly disposed Within said passage and having its outer end terminating at a point adjacent the outer face of said member` and at least said outer end being of minute cross sectional area, mounting means forming a part of said member to support the same with respect to an element defining an ampule-receiving chamber, the outer face of said member being convexly curved adjacent the zone of the passage to PTO* vide a skin-contacting surface and the inner end of the cannula extending beyond the inner face of said member to furnish an ampule-piercing projection.

6. In a hypodermic apparatus to inject medicament without the aid of a skin-piercing needle in combination, a unit for connection to the body of such apparatus, said unit presenting inner and outer faces, a cannula extending through said unit, at least that end of the cannula adjacent said outer unit face having its bore of a restricted diameter such that it will define a column of liquid medicament of skin-penetrating fineness, the outer face of said unit providing a surface for direct contact with the skin, the opposite cannula end being pointed and extending beyond the inner face of said unit to -penetrate an ampule disposed adjacent thereto and the length of said cannula being restricted to a degree such its inner end extends beyond the adjacent unit face a distance less than the distance between the faces of the latter.

7. A hypodermic injection apparatus including in combination a casing, means for operative- 1y supporting adjacent one end of the same an element defining a medicament chamber, a plunger carried by said casing and projectable to expel fluid from said chamber, a pressure accumulator within said casing and connected to said plunger to project the same, a handle having one of its ends pivotally connected to said casing to initially extend at an acute angle with respect to the axis of the latter whereby said casing and handle may be grasped by one hand and said handle may be swung towards the casing axis and means releasably connecting said handle with said plunger to compress said accumulator and thereupon free said plunger for projection under continued swinging action of said handle.

` JOHN H. SMOOT.

References Cited in the le of this patent UNITED STATES PATENTS Number Name Date 1,767,304 Morton June 24, 1930 1,770,634 Smith July 15, 1930 1,924,785 Grifols y Roig Aug. 29, 1933 1,927,274 Baur Sept. 19, 1933 2,147,616 Chaput Feb. 14, 1939 2,221,739 Reiter Nov. 12, 1940 2,314,848 Polzer Mar. 23, 1943 2,322,244 Lockhart June 22, 1943 2,348,337 Francis May 9, 1944 2,398,544 Lockhart Apr. 16 1946 2,404,316 Sack July 16, 1946 

